| NPI | 1912065533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT032148) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0002975) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2024-09-05 |